"RESULT OF 'NO' VOTE: 'No' vote retains current allowing [sic]
medical provider to provide a minor 15 years or older with medical treatment,
including abortion, without parental notification.

"SUMMARY: Current law provides that minor 15 years or older has right
to medical treatment without parent notification. Medical provider has no
obligation to obtain notification when performing medical treatment for minor,
although provider may notify minor's parent of medical treatment without patient
consent. Measure requires that provider notify unemancipated minor's parent 48
hours before performing abortion. Notification means written notice to parent by
certified mail at parent's residence. Exceptions to notice requirement for
documented medical emergencies, which do not include rape or incest.
Unemancipated minor may apply for administrative hearing requesting abortion
without notice to parent. Hearing shall be confidential, open only to minor,
counsel, witnesses, judge. Failure to notify parent may subject provider to civil
liability to parent, license suspension, or revocation. Other provisions."

Petitioners challenge the caption, the "yes" vote result statement, the "no" vote
result statement, and the summary. The Attorney General agrees that this court should refer the
ballot title to the Attorney General for modification in two respects. We agree, and we discuss
those required changes in greater detail below. We also conclude, in response to other challenges
by petitioners, that the ballot title does not comply substantially with statutory requirements in
other respects, also discussed below, and we refer the ballot title for modification regarding those
additional deficiencies.

THE CAPTION MUST IDENTIFY THE PROPOSED MEASURE'S
ENFORCEMENT SCHEME

ORS 250.035(2)(a) requires a ballot title to include a caption, not to exceed 15
words, "that reasonably identifies the subject matter of the state measure." The caption's terms
must not "understate or overstate the scope of the legal changes that the proposed measure would
enact." Kain/Waller v. Myers, 337 Or 36, 40, 93 P3d 62 (2004). In Kain/Waller, this court
stated:

"To determine the subject matter of a proposed measure, we first examine
its words and the changes, if any, that the proposed measure would enact in the
context of existing law. We then examine the words of the caption to determine
whether they reasonably identify the proposed measure's subject matter. SeePhillips v. Myers, 325 Or 221, 225-26, 936 P2d 964 (1997) (illustrating
principle)."

Id. at 41.

This court has recognized that the subject matter of a proposed measure may
consist of more than one subject. SeeNesbitt v. Myers, 328 Or 400, 403-04, 978 P2d 378 (1999)
(where proposed measure addressed "taxes" and "fees," caption addressing only taxes is
inaccurate). In such a case, the caption must identify each subject or, alternatively, use other
terms that more accurately convey the scope of the proposed measure. Id. at 404. What the
Attorney General cannot do is select and identify in a caption only one out of multiple subjects
and thus understate the scope of the proposed measure's subject matter. SeeNovick/Sager v.
Myers, 329 Or 11, 16-17, 986 P2d 1 (1999) (illustrating principle); Nesbitt v. Myers, 328 Or at
404 (same).

Petitioners argue that the Attorney General's caption is deficient because it fails to
identify one of the subjects of the proposed measure. Petitioners point to the enforcement
scheme that the proposed measure would create to regulate and punish a failure to comply with
the abortion notification requirement that the proposed measure would enact.

We first examine the proposed measure's text and then determine the extent to
which that text would effect changes to Oregon law. Kain/Waller, 337 Or at 40. The text of the
proposed measure addresses at least two main subjects. The first subject concerns the imposition
of a requirement of 48 hours' written notice by certified mail to a parent in advance of the
performance of an abortion on an unemancipated minor, together with the creation of a list of
circumstances in which the notice requirement would not apply. The second subject concerns the
creation of a two-pronged enforcement scheme that would come into play if any person
performed an abortion in violation of the notification requirements. The second subject arises
from section 8(1) of the proposed measure, which provides:

"The failure of a person performing an abortion on an unemancipated
minor or a ward to comply with section 3 of this 2005 Act [stating notification
requirement]:

(a) Gives rise to civil liability for all damages in favor of a parent of the
minor or ward; and

(b) Provides the Board of Medical Examiners a basis for refusing to grant,
or [to] suspend, or [to] revoke a license to practice under ORS 677.190."

Each part of that remedial scheme enacts new legal requirements that would be
significant to a potential petition signer or voter considering the proposed measure. The first
remedy listed above creates a species of tort liability that presently has no counterpart in Oregon
law. Part of the novelty of the stated tort remedy arises from the fact that the proposed measure
affords a damages remedy against any person providing an abortion and in favor of a parent, not
the minor female (that is, the patient) who allegedly had received an abortion without the
required notification.

The second remedy described in the proposed measure would create a statutory
basis for a range of administrative sanctions by the Board of Medical Examiners regarding "a
license to practice under ORS 677.190." ORS 677.190 lists the grounds on which the Board of
Medical Examiners could rely in refusing to grant, or in suspending or revoking, a license to
practice medicine issued under ORS chapter 677. Again, there is no counterpart in current
Oregon law for administrative disciplinary action against persons licensed to practice medicine
for performing an abortion on an unemancipated minor female without first providing a parent
with written notice of the kind described in the proposed measure.

In arguing that the caption is sufficient, the Attorney General purports to find
support in this court's decisions in two ballot title cases that discussed disputes over references to
enforcement provisions. As the following discussion discloses, that reliance is misplaced.

In Wilkeson v. Myers, 329 Or 540, 992 P2d 456 (1999), the proposed initiative
measure would have required the practice of "sustainable forestry" on state and private land.
Additionally, the proposed measure would have authorized citizens to bring legal actions to
enforce its provisions. The petitioners challenged the "yes" vote result statement, ORS
250.035(2)(b), in the Attorney General's ballot title, arguing that it failed to mention the
enforcement provision. The court agreed, observing that the enforcement provision "is a
significant change in the law." Id. at 546. The court required inclusion of the phrase "authorizes
citizen lawsuits" in the "yes" vote result statement. Id.

The Attorney General argues that, in Wilkeson, "[t]his court said nothing about
inclusion of that type of statement in the caption." (Emphasis in original.) That is true; it also is
beside the point. The Wilkeson court was responding to a disagreement over the "yes" vote result
statement, not the caption. Id. Although the petitioners asserted other unrelated challenges to the
caption in that case, they never claimed that the caption should have referred to the citizen-lawsuit enforcement mechanism. Id. at 544-45. As a consequence, the court correctly confined
its discussion of the enforcement mechanism to the "yes" vote result statement. Thus, the fact
that the Wilkeson court did not mention the absence of a reference to the enforcement mechanism
in the caption does not justify the Attorney General's failure to mention that topic in the caption
here.

In Mabon v. Kulongoski, 324 Or 315, 925 P2d 1234 (1996), the proposed
initiative measure would have prohibited certain abortions and, among other things, would have
authorized residents and certain business entities to initiate litigation to enforce the proposed
measure. The Attorney General identified the latter provision as part of the proposed measure's
subject matter by including the phrase "permits lawsuits" in the caption of the certified ballot
title. Id at 318. The petitioner challenged the inclusion of the phrase "permits lawsuits" in the
caption, arguing that "permitting lawsuits is not the subject of the measure." Id. at 319. This
court disagreed, stating:

"Creation of the right to bring lawsuits is part of the measure's subject. Inclusion
of the words 'permits lawsuits' in the Caption, therefore, is permissible."

Id. at 319-20.

The Attorney General argues that the Mabon court held only that the disputed
phrase "permits lawsuits" was a permissible element of the caption and did not hold that that
phrase was a required element. Again, that argument is unresponsive to the issue here. In
reviewing the caption in Mabon, the court's sole objective was to determine whether the Attorney
General had erred in deciding that the phrase "permits lawsuits" properly identified part of the
proposed measure's subject matter. Thus, the court's determination that the disputed phrase was
"permissible" accurately answered the specific question before the court.

We express no view about whether the two-pronged enforcement scheme
described in the proposed measure is a worthwhile change from the standpoint of public policy.
However, it is undebatable that the new enforcement scheme would enact major changes to
Oregon law that likely would be significant to the voting public. Those changes to Oregon law
are not mere procedural details regarding the notification requirement. By failing to give any hint
of the new remedial scheme in the caption, the Attorney General has "understate[d] * * * the
scope of the legal changes that the proposed measure would enact[,]" in violation of ORS
250.035(2)(a) and contrary to this court's decision in Kain/Waller. Consequently, we must refer
the caption to the Attorney General for modification.

THE "YES" VOTE RESULT STATEMENT MUST REFER
TO THE ENFORCEMENT SCHEME

ORS 250.035(2)(b) requires that a ballot title incorporate "[a] simple and
understandable statement of not more than 25 words that describes the result if the state measure
is approved." Petitioners argue that the Attorney General's "yes" vote result statement is
insufficient because it does not mention the proposed measure's enforcement scheme. The
Attorney General agrees that "Wilkeson does require that the enforcement provisions be included
in the 'yes' result statement." The Attorney General requests that the court refer the ballot title for
modification in that regard. That request is well-taken.

The Attorney General also indicates that he has prepared the following revised
"yes" vote result statement and proposes to incorporate it in the ballot title after referral:

Petitioners argue that the final clause of that statement, "Authorizes lawsuits
against provider[,]" is inaccurate because it understates the scope of the enforcement scheme in
the proposed measure and, thus, understates the result of an affirmative vote. We agree. The
statement must include some reference to the administrative discipline feature to describe
accurately the enforcement scheme in the proposed measure. The Attorney General's proposed
revision falls short in that respect.

THE "NO" VOTE RESULT STATEMENT IS INCOMPLETE

The Attorney General's "no" vote result statement provides:

"RESULT OF 'NO' VOTE: 'No' vote retains current allowing [sic] medical
provider to provide a minor 15 years or older with medical treatment, including
abortion, without parental notification."

The Attorney General requests that the court refer the "no" vote result statement for modification
because it omits the word "law." We agree with that request.

Petitioners also argue that the Attorney General's "no" vote result statement is not
accurate because it wrongly implies that the pertinent law that a "no" vote would retain is that
which applies to "a minor 15 years or older." Petitioners point out that the proposed measure
applies to any minor female, older or younger than 15 years of age and, accordingly, the "no"
vote result statement must state the effect of a "no" vote in retaining current law that applies to
all minors, not only those 15 years of age or older.

In Novick/Crew v. Myers, 337 Or 568, 577, 100 P3d 1064 (2004), this court
concluded that the Attorney General satisfied ORS 250.035(2)(c) by "address[ing] the substance
of current law on the subject matter of the proposed measure * * *" and by "summariz[ing] the
current law accurately." (Emphasis in original.) In analyzing whether the Attorney General has
satisfied ORS 250.035(2)(c) here, we first must consider the Oregon law that currently applies to
the subject of the measure and then determine whether the Attorney General has summarized that
law accurately.

As noted, section 3(1) of the proposed measure would require advance written
notice of the performance of an abortion to the parent or guardian of an "unemancipated minor or
a ward * * *." The proposed measure does not specially define the term "unemancipated." Section 2(3)
of the proposed measure provides,

"'Minor' has the meaning given that term in ORS 125.005."

ORS 125.005(6) defines "minor" as "any person who has not attained 18 years of age."
Petitioners argue that, in light of the definition of "minor" in ORS 125.005(6), the Attorney
General's focus is too narrow.

The Attorney General responds to petitioners' argument as follows:

"Although the measure employs the phrase 'unemancipated minor'
throughout, it does not define or discuss 'unemancipated.' There, too, the measure
makes no reference to age. We therefore continue to believe that the status of the
law as to minors under age 15 is beyond the scope of the certified proposal."

In considering the Attorney General's response, we take into account ORS 109.640, which
provides:

"Any physician may provide birth control information and services to any person
without regard to the age of such person and a minor 15 years of age or older, may
give consent to hospital care, medical or surgical diagnosis or treatment by a
physician licensed by the Board of Medical examiners for the State of Oregon, and
dental or surgical diagnosis or treatment by a dentist licensed by the Oregon Board
of Dentistry, without the consent of a parent or guardian, except as may be
provided by ORS 109.660."

That statute authorizes a minor female 15 years of age or older to consent to the
performance of an abortion by a physician without the consent of the minor's parent or guardian.
A parent or guardian still must consent to the performance of an abortion for a minor female 14
years of age or younger, unless some legal exception applies. A "no" vote on the proposed
measure would retain those current statutory provisions.

The Attorney General's "no" vote result statement is insufficient, because it
understates the scope of the pertinent Oregon law that a "no" vote would retain, and it describes
that law inaccurately. Oregon statutes provide several procedural routes by which minors of
differing ages may become "emancipated" and thus enjoy certain rights of majority, for various
reasons. See ORS 109.520 (lawfully married minor is deemed to have arrived at age of majority);
ORS 419B.500 to 419B.558 (describing procedures for obtaining judgment of emancipation from
juvenile court); ORS 109.675(2) (minor 14 years of age or older may be "emancipated," for
purposes of statute, by living apart from parents or guardian and being self-sustaining for 90 days
before obtaining certain medical treatment). However, ORS 109.640 does not confer
emancipation on any minor. That statute does not justify the Attorney General's decision to limit
the scope of the relevant Oregon law to that which applies to "a minor 15 years or older * * *."

The proposed measure clearly applies to all unemancipated minor females who
have not attained 18 years of age. Under current Oregon law, if the patient is a female younger
than 15 years of age, a doctor must obtain parental consent to an abortion, unless some legal
exception applies. Parental consent necessarily involves some form of parental notification. The
Attorney General's "no" vote result statement simply fails to disclose the current Oregon law on
parental involvement in abortion decisions for minor females younger than 15 years of age.

THE SUMMARY IS INACCURATE IN TWO RESPECTS

ORS 250.035(2)(d) requires that a ballot title contain "[a] concise and impartial
statement of not more than 125 words summarizing the state measure and its major effect."
Petitioners argue that the Attorney General's summary is insufficient because it fails to state
accurately the current law of Oregon as it relates to females younger than 15 years of age.

We agree. The Attorney General confined the scope of the description of current
law in the summary to that which pertains to a "minor 15 years or older * * *." For the reasons
discussed above in connection with the "no" vote result statement, that description is too narrow.
The summary requires modification to reflect pertinent Oregon law concerning females younger
than 15 years of age.

There is one other difficulty with the summary. The Attorney General's summary
uses two terms, "medical provider" and "provider," to describe a person who performs abortions
on minor females and to whom the proposed measure's notification requirements and enforcement
scheme would apply. Petitioners argue that the term "provider" fails to describe accurately the
persons who might face administrative sanctions under the proposed measure. According to
petitioners, although the proposed measure would prohibit any person from performing an
abortion on an unemancipated minor without the required parental notification, only physicians
would face potential administrative penalties for violating the notice requirement.

The relevant passage of the summary states, "[f]ailure to notify parent may subject
provider to civil liability to parent, license suspension, or revocation." In context, the term
"provider" is broad enough to refer to any person who performs an abortion in violation of the
proposed measure. Although a violation of the proposed measure might expose any person (and,
thus, any "provider") to civil liability for damages, the only persons who potentially might face
administrative sanctions before the Board of Medical Examiners would be physicians, that is,
persons licensed to practice medicine under ORS chapter 677.

The term "provider" in the sentence from the summary quoted above inaccurately
describes the person whose conduct is governed by the provision on administrative sanctions.
Without clarification, that sentence erroneously implies that persons other than physicians may
face administrative sanctions under the proposed measure. The Attorney General's summary is
insufficient in that respect.

CONCLUSION

On referral, the Attorney General must make changes to each part of the certified
ballot title. (2) As this court recently recognized, changes to the ballot title on referral may
"alter the calculus" of what constitutes an appropriate ballot title. Wolf v. Myers, 340 Or ___, ___,
___ P3d ___ (2006) (slip op at 8). The Attorney General has authority to make other
modifications to the ballot title beyond those discussed in this opinion to achieve substantial
compliance with statutory requirements. Id. In that connection, the Attorney General may deem
it appropriate to consider the term "obtain" in the second sentence of the summary ("Medical
provider has no obligation to obtain notification when performing medical treatment for minor * * *." (Emphasis added.)). That term appears to suggest inaccurately that, under current law, a
medical provider must receive notification when performing medical treatment for a minor. We
identify that question only and leave to the Attorney General the decision whether to make any
modification in that regard on referral.

In summary, we conclude that the caption, both result statements, and the summary
do not comply substantially with the requirements of ORS 250.035(2). We refer the ballot title to
the Attorney General for modification. ORS 250.085(8).

Ballot title referred to Attorney General for modification.

APPENDIX
INITIATIVE PETITION 51 (2006)

Be It Enacted by the People of the State of Oregon:

SECTION 1. Sections 2 to 10 of this Act are added to ORS Chapter 677 and may be cited as the
Parental Involvement and Support Act.

SECTION 2. As used in sections 1 to 8 of this 2005 Act:

(1) 'Abortion' means the use of a drug or device to intentionally terminate a pregnancy other than
to produce a live birth or remove a dead unborn child.

(2) 'Medical emergency' means a medical condition that places the health of a pregnant woman in
such serious jeopardy that failure to terminate the pregnancy or a delay in terminating the
pregnancy would result in the death of the woman, serious impairment to bodily function or
serious and permanent lack of function of any bodily organ or part.

(3) 'Minor' has the meaning given that term in ORS 125.005.

(4) 'Parent' means:

(a) A biological parent;

(b) If a minor has been adopted, an adoptive parent; or

(c) If a court has appointed a guardian for a minor, the guardian.

(5) 'Ward' means a minor for whom a court has appointed a guardian under ORS chapter 125.

SECTION 3. (1) A person may not perform an abortion on an unemancipated minor or a ward
until 48 hours after the parent receives written notice from the person of the proposed abortion by
certified mail, return receipt requested, at the residence of the parent, with delivery restricted to
the parent.

(2) Receipt of notice under subsection (1) of this section is deemed to occur not later than 12 noon
on the second mail delivery day after the mailing of the notice.

SECTION 4. (1) A person may perform an abortion on an unemancipated minor or a ward
without the notice required by section 3 of this 2005 Act if:

(a) Due to a medical emergency, notification is not possible and the person
performing the abortion documents the medical emergency in the minor's or ward's
medical record;

(b) The Department of Human Services under section 6 of this 2005 Act or a court
on review of an order by the department under section 7 of this 2005 Act
authorizes the abortion; or

(c) The person who is to perform the abortion provides actual notice to the parent
in person.

(2) A parent receiving notice under subsection (1)(c) of this section of this section must provide
the person providing notice with:

(a) Current photographic identification issued by this state; or

(b) A document on List A of United States Department of Justice Form I-9.

(3) The person who performs the abortion for which the person provided notice under subsection
(1)(c) of this section shall retain a copy of the proof of identification furnished by the parent in the
medical record of the minor or ward for at least three years.

SECTION 5. (1)(a) Within three days after receiving an application of a pregnant minor or ward
for an abortion without notice to a parent, the Department of Human Services shall request
assignment of an administrative law judge from the Office of Administrative Hearings to consider
the application.

(b) On behalf of the department, the administrative law judge shall issue a final
order authorizing the abortion if the administrative law judge determines that:

(A) The applicant is mature and capable of giving informed consent to the
abortion; or

(B) Obtaining an abortion without the notice required by section 3 of this
2005 Act is in the best interest of the applicant.

(2) The administrative law judge shall issue an order denying or granting the application under
this section within seven calendar days after the office receives the application from the
department.

(3) The department may not modify the form of order issued under this section or a finding of
historical fact by the administrative law judge.

(4) ORS 183.630 does not apply to a hearing under this section.

(5) The chief administrative law judge of the Office of Administrative Hearings shall adopt rules
for the conduct of hearings under this section.

SECTION 6. A hearing under section 5 of this 2005 Act shall be held in private, and the
administrative law judge shall exclude all persons other than the minor or ward, the counsel of the
minor or ward, witnesses and representatives of the administrative law judge.

(2) Communications in a hearing held under section 5 of this 2005 Act are confidential. An
individual participating in a hearing held under section 5 of this 2005 Act may not be examined
about the communications in any civil or criminal action. Exceptions to testimonial privilege
otherwise applicable under ORS 40.225 to 40.295 do not apply to communications made
confidential under this subsection.

(3) Records of a hearing under section 5 of this 2005 Act are not open to public inspection and
exempt from disclosure under ORS Chapter 192. The administrative law judge may disclose the
records only to:

(a) The minor or ward;

(b) Counsel for the minor or ward; and

(c) Representatives of the administrative law judge.

SECTION 7. (1) If an administrative law judge issues an order denying an application under
section 5 of this 2005 Act, the applicant may petition for judicial review of the order under ORS
183.484.

(2) On review of an order issued under section 5 of this 2005 Act, the court shall preserve the
anonymity of the applicant, and the applicant is entitled to proceed under a pseudonym.

(3) (a) the court shall give precedence to proceedings under this section over all other
matters on the court's docket.

(b) (A) The court shall issue the decision on review not later than 5 p.m. on the
second business day after the filing of the petition for judicial review.

(B) Upon the request of the applicant, the court may extend the time for
decision. If the court extends the time for decision, the court shall issue the
decision not later than 5 p.m. on the second business day after the applicant
informs the court that the applicant is prepared to proceed.

(4) If the court fails to issue the decision on review within the time specified in subsection (3) of
this section:

(a) The application is deemed granted; and

(b) The clerk of the court shall issue a written statement to the applicant stating that
the application is granted.

(5) In a decision under this section, the court shall make special findings of fact based upon the
evidence in the record and conclusions of law.

SECTION 8. (1) The failure of a person performing an abortion on an unemancipated minor or a
ward to comply with section 3 of this 2005 Act:

(a) Gives rise to civil liability for all damages in favor of a parent of the minor or
ward; and

(b) Provides the Board of Medical Examiners a basis for refusing to grant, or
suspend, or revoke a license to practice under ORS 677.190.

(2) Subsection (1) of this section does not apply if the person performing the abortion on the
unemancipated minor or ward establishes that the person reasonably relied upon the
representations of the minor or ward regarding information necessary to comply with section 3 of
this 2005 Act.

(3) The Department of Human Services, the Office of Administrative Hearings and the
administrative law judge are immune from civil liability for actions taken in the course of a
hearing under section 5 of this 2005 Act.

SECTION 9. On January 15 of each year, the chief administrative law judge shall make available
to the public a report of the number of applications made and granted under section 5 of this 2005
Act.

SECTION 10. (1) If any portion or portions of this act are declared invalid by a court of
competent jurisdiction, the remaining portions of this act shall remain in full force and effect.

(2) This act shall be construed to be consistent with the Constitution of the United States to the
greatest extent possible. If any application of this section is found to be unconstitutional,
remaining applications shall remain in force and effect.

1. The text of the proposed measure appears in the Appendix to this opinion.